If I'm 40 pounds over weight how what would be the best procedure to remove that fat?

Unable to provide a specific answer to your question without photos or an exam.  Liposuction can make dramatic changes in body contour, but you cannot lose any dramatic amount of weight with it.  If you are 40 lbs overweight, you should consider losing at least 20 lbs before having the liposuction performed.   This will only improve the results and decrease the risks of complications during and after surgery.  The fat that remains after weight loss will be the stubborn residual fat that is best addressed with liposuction.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

You would need to lose weight first before undergoing any cosmetic procedure to get the best outcome. For best results, it is recommended to be at your ideal or stable weight before getting a sculpting liposuction procedure. Liposuction is not a weight loss procedure, rather it is for sculpting and defining and removing problem areas that cannot be removed with weight loss and diet / exercise alone. With skin laxity, a tummy tuck or lifting procedure could be performed at the same time. I recommend getting a formal evaluation with a bariatric doctor or dietitian. Best, Dr. Emer

Hi ssebeny24 and thank you for your question. It's hard to say what procedure is best with out seeing. Typically if you don't have a ton of extra skin then liposuction maybe the way to go.  With liposuction we are able to shrink you down in inches, contour the area and get some skin retraction.  If there is a lot of extra skin then that's when we look more towards a tummy tuck.  I typically recommend my patients to be as close to their weight goal when doing a tummy tuck so we can take care of as much as we can.  I would recommend you make a consultation appointment to be evaluated by a board certified plastic surgeon.